| NPI | 1558929158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-78502) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-59470) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11765) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2025-01-04 |