| NPI | 1265102719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73718) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-12468) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-07-09 |