| NPI | 1205401510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1364) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-16-24766) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-01-25 |