| NPI | 1174175269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-47582) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-19-82338) |
| 103K00000X Behavior Analyst (Licence: BACB465143) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-07-19 |