| NPI | 1114575487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-40175) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-01-10 |