| NPI | 1528618253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49442) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-60677) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10687) | |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2021-09-08 |