| NPI | 1669059556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54370) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11832) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-01-14 |