| NPI | 1962175406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-25-82515) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: SC 0-24-15032) |
| 106S00000X Behavior Technician (Licence: SC RBT-20-109697) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2025-07-28 |