| NPI | 1225574684 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12587) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-66114) | 
| Enumeration Date | 2017-01-10 | 
| Last Update Date | 2021-08-30 |