| NPI | 1376261156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA1-23-66551) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-225854) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-07-03 |