| NPI | 1215519392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-22-58078) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-02-22 |