| NPI | 1053953448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-56430) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-04-07 |