| NPI | 1215452644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48480) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-12937) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-06-20 |