| NPI | 1497296792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2019003795) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-15-08251) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-04-09 |