| NPI | 1366001646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47034) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-84804) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-09-16 |