| NPI | 1215553193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67832) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-118083) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2023-08-29 |