| NPI | 1154905792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-70532) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-20-118222) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-02-01 |