| NPI | 1992458665 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-84107) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-01 | 
| Last Update Date | 2025-09-25 |