| NPI | 1023516267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57249) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10447) |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-02-21 |