| NPI | 1194205930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-21-53103) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2021041483) |
| 106S00000X Behavior Technician (Licence: LA RBT-18-56144) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-04-25 |