| NPI | 1710501614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77462) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-09-11 |