| NPI | 1447766357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3107-MH-B1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001524) |
| 106S00000X Behavior Technician (Licence: VA RBT-17-34438) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-08-19 |