| NPI | 1730745340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-90353) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1865445) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2026-06-09 |