| NPI | 1134701857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-23-69192) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: NC RBT19108773) |
| 106S00000X Behavior Technician (Licence: NC RBT19108773) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2023-11-20 |