| NPI | 1194473017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73014) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20118112) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-05-20 |