| NPI | 1477104057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-21-53520) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-68494) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-01-07 |