| NPI | 1134570609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 10217726) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 10192490) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-10-27 |