| NPI | 1508213240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA12046368) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT15-06467) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-12-16 |