| NPI | 1811776073 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-25-80408) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2023-09-27 | 
| Last Update Date | 2025-04-14 |