| NPI | 1114567732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-101920) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2023-09-07 |