| NPI | 1306454764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WY RBT-20-148355) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-12-16 |