| NPI | 1689215121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54037) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2021-11-02 |