| NPI | 1104313915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42584) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL RBT-18-53332) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2020-08-17 |