| NPI | 1114474525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-19-9801) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-19-9801) |
| 106S00000X Behavior Technician (Licence: CO RBT-16-23745) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-02-14 |