| NPI | 1659028942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL RBT-21-196363) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB719726) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |