| NPI | 1700349867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62471) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2026-03-26 |