| NPI | 1962059329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15881) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-96121) | 
| Enumeration Date | 2019-08-21 | 
| Last Update Date | 2025-09-04 |