| NPI | 1700309713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-19-10418) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-19-10418) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-01-23 |