| NPI | 1184166845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-31477) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2019-06-18 |