| NPI | 1053955930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-21-53436) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL RBT1857481) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-10-26 |