| NPI | 1912480559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57222) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: NJ R61881530062942) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2026-02-17 |