| NPI | 1073282307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-61614) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-11-09 |