| NPI | 1093295032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 1-20-45677) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA RBT-18-57026) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-07-12 |