| NPI | 1114405933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-18-48597) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-18-48597) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |