| NPI | 1376996603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 02213571) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1504660) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-04-07 |