| NPI | 1689212797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13581) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-105911) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2022-06-07 |