| NPI | 1104475631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-97765) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2022-03-18 |