| NPI | 1083217004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-144194) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL C632780007440) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-03-02 |