| NPI | 1023659661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50434) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician (Licence: FL RBT-19-99223) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-06-30 |