| NPI | 1669023081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-21-49852) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-05-18 |