| NPI | 1154955763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-44913) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA-0-19-10568) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-10-05 |