| NPI | 1992312979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-2851685) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-134666) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2026-09-28 |