| NPI | 1801545736 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77111) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-128943) | 
| Enumeration Date | 2022-03-18 | 
| Last Update Date | 2024-11-04 |