| NPI | 1043968407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65793) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21-169050) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-05-30 |