| NPI | 1639826027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 12263249) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 21-196222) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-05-02 |