| NPI | 1952816613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83650) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13733) |
| 106S00000X Behavior Technician (Licence: FL RBT-17-43691) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2025-08-29 |