| NPI | 1659802593 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52463) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10029) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-22 | 
| Last Update Date | 2021-09-01 |