| NPI | 1093470650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 02112799) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1987350) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-17 |