| NPI | 1245801158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-66146) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-21-169712) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-09-05 |