| NPI | 1013454750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54762) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10996) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-58235) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-12-06 |