| NPI | 1679957161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-78295) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10535) |
| 106S00000X Behavior Technician (Licence: FL RBT-17-29678) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-12-19 |