| NPI | 1689190308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55768) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: FL RBT-18-57375) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-03-09 |