| NPI | 1366971566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72158) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-04-10 |