| NPI | 1063902930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-40459) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-37819) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-8789) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-09-11 |