| NPI | 1467925115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0-21-11955) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-57466) |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2021-07-21 |