| NPI | 1295183861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50977) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10789) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-05-24 | 
| Last Update Date | 2021-08-02 |