| NPI | 1831751452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-74650) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-91080) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2026-06-08 |