| NPI | 1356084792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12473515) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21150462) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-06-13 |