| NPI | 1235749094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021014487) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-20-122930) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-07-02 |