| NPI | 1508565763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72890) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-247010) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-05-15 |