| NPI | 1114552643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47869) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-114018) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-08-23 |