| NPI | 1376161034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53750) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-77020) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-11-15 |