| NPI | 1275097396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-36861) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-07274) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2021-04-09 |