| NPI | 1538658760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1-19-39534) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-07-11 |