| NPI | 1053863241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-34282) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2020-09-30 |