| NPI | 1609456698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-70069) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB663293) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-01-24 |