| NPI | 1477044600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1003-140) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 16-24996) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-07-12 |