| NPI | 1790431765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80656) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15911) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-04-16 |