| NPI | 1174974083 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-117507) | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-06-22 | 
| Last Update Date | 2021-08-17 |