| NPI | 1215698345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-56241) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-120133) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |