| NPI | 1326586124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 12038411-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MT RBT-17-29067) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2020-12-28 |