| NPI | 1134761067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12370121) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1998760) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-01-17 |