| NPI | 1609633361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76937) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-321996) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-10-30 |