| NPI | 1760953673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73268) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10550) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-61642) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2026-02-22 |