| NPI | 1023640968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021043064) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-19-105864) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2021-10-26 |