| NPI | 1811648116 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-25-80994)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-176351)  | 
| Enumeration Date | 2022-01-18 | 
| Last Update Date | 2025-05-08 |