| NPI | 1700360658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76162) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-54709) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-10-02 |