| NPI | 1194353458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-42976) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-07-05 |