| NPI | 1700403953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-21-53073) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-122233) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-06-19 |