| NPI | 1457807950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-1937657) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-28600) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-12-07 |