| NPI | 1366912693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59498) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10048) |
| 106S00000X Behavior Technician (Licence: FL 18-53292) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-05-11 |