| NPI | 1699462010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66670) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-122632) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-08-11 |