| NPI | 1710518410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51206) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-105036) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2021-11-05 |