| NPI | 1063992105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-19-38426) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-05916) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-02-06 |