| NPI | 1659855187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61548983) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-62422) |
| 103K00000X Behavior Analyst (Licence: IL 1-18-34281) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-07-24 |