| NPI | 1346899424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-76155) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-66633) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-11-04 |