| NPI | 1629536008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BACB454772) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-07-21 |