| NPI | 1003382821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54160) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-74860) |
| 163W00000X Registered Nurse (Licence: FL 9427428) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-01-28 |