| NPI | 1326691353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12778) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-91316) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2021-10-19 |