| NPI | 1679114813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-57745) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-100073) |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2023-03-25 |