| NPI | 1164057162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69211) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-19-108069) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-11-01 |