| NPI | 1144765587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA789) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-16-25937) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2020-04-15 |