| NPI | 1104493923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 2151) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-19-84076) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-11-20 |