| NPI | 1245747088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2870) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000419) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-07-24 |