| NPI | 1205366424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56189) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12090) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-09-12 |