| NPI | 1093230666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA-1-20-43-155) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2021-01-13 |