| NPI | 1225504400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CO 0-20-10815) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT1865737) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-03-04 |