| NPI | 1225678584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67613) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-109627) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-12-01 |