| NPI | 1134890791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-75745) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: FL 21-182015) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-09-19 |