| NPI | 1578097564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51449) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11112) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-10-05 |