| NPI | 1972121259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB587562) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-126044) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2025-05-23 |