| NPI | 1295396398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-43256) |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: NE 19-92038) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-09-08 |