| NPI | 1639522089 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-05595) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-15-05595) | 
| Enumeration Date | 2016-07-21 | 
| Last Update Date | 2019-02-14 |