| NPI | 1053967877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13269) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-05-23 |