| NPI | 1235628249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55117) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-54795) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2022-07-09 |