| NPI | 1124534110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00344) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RI RBT-16-22704) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-01-07 |