| NPI | 1952041022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80573) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15000) |
| 106S00000X Behavior Technician (Licence: FL RBT-21-185166) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-04-15 |