| NPI | 1568978807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30360) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-1620244) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2021-08-12 |