| NPI | 1265928170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57075) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 12157075) |
| 106S00000X Behavior Technician (Licence: FL rbt-18-73262) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-07-13 |