| NPI | 1619380961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-36525) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-12-02 |