| NPI | 1760193817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-82402) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 22-243778) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2025-10-16 |