| NPI | 1043797343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72823) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-57442) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-05-07 |