| NPI | 1720657778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-68152) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-95910) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-04-08 |