| NPI | 1477193605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3817) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: FL 1-21-53788) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-06-25 |