| NPI | 1255000105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-22-62172) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 220048) |
| 106S00000X Behavior Technician (Licence: MS RBT-20-128353) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-02-01 |