| NPI | 1740926021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77731) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-209089) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-01-16 |