| NPI | 1174119028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59818) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2022-06-28 |