| NPI | 1033519590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB260563) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-06-06 |