| NPI | 1164078804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11934) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-67268) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-04-06 |