| NPI | 1053957191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68121) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-97789) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-09-11 |