| NPI | 1679014039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53532) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-19-10027) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-73787) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2021-09-28 |