| NPI | 1568138006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68866) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-180398) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-10-30 |