| NPI | 1669829404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-35537) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 16-23259) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2019-04-05 |