| NPI | 1255965364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59131) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-22-59131) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-08-08 |