| NPI | 1316404692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA BACB507414) |
| 106E00000X Assistant Behavior Analyst (Licence: GA BACB507414) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-05-12 |