| NPI | 1720672975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2023-141) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-20-148783) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-11-15 |