| NPI | 1578035283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-20-42317) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-02-02 |