| NPI | 1699312710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-47105) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-75618) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-03-17 |