| NPI | 1053995803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14907) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-01-03 |