| NPI | 1760107197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-89997) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-229445) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2026-06-24 |