| NPI | 1932674967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52402) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-65954) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2026-01-15 |