| NPI | 1962015586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80275) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-04-16 |