| NPI | 1114560596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59252) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-95999) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2022-08-21 |