| NPI | 1104380104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-19-40137) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-57429) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-04-06 |