| NPI | 1205479359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-20-11366) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-59895) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-01-06 |