| NPI | 1588016216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-19-40125) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9990) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2020-01-08 |