| NPI | 1962082974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79388) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-160240) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-02-26 |