| NPI | 1548806987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11999) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL 19-95859) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-06-17 |