| NPI | 1710413075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-18-69028) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-03-02 |