| NPI | 1679089098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-86967) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL No) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2026-01-20 |