| NPI | 1114678638 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2022-01-17 | 
| Last Update Date | 2022-01-17 |