| NPI | 1700336658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-56781) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-69029) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2022-03-08 |