| NPI | 1356759617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-60640) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2022-08-16 |