| NPI | 1619636057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-18-50383) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |