| NPI | 1013509801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 21-153814) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-21-153814) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-09-15 |