| NPI | 1710608153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12688445) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21178500) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2026-03-17 |