| NPI | 1720777477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83529) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-271195) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-01-14 |