| NPI | 1265968168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57018) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-70510) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-01-11 |