| NPI | 1831797869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-25-82124) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2020-10-12 | 
| Last Update Date | 2025-07-22 |