| NPI | 1003450073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57420) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2022-02-09 |