| NPI | 1790252005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-86484) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-21-11952) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2026-10-05 |