| NPI | 1053061879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-24-72991) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-183916) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-05-27 |