| NPI | 1356897631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-17-26196) |
| 247200000X Technician, Other (Licence: FL 15-01346) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-02-23 |