| NPI | 1467992594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53255) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-05-24 |