| NPI | 1053877233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55922) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9700) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-55744) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-07-20 |