| NPI | 1326664285 |
|---|---|
| Professional Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-58747) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-04-25 |