| NPI | 1356806012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-63781) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-01-26 |