| NPI | 1639787229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-49896) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-20-114912) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-06-15 |