| NPI | 1174182794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62959) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-71693) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-01-03 |