| NPI | 1457085250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66722) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-70068) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2023-07-20 |