| NPI | 1124502745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-54547) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-65673) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-08-15 |