| NPI | 1528601317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55813) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BACB408460) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-07-25 |