| NPI | 1730732736 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46696)  | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 01910062)  | 
| Enumeration Date | 2019-07-18 | 
| Last Update Date | 2021-09-25 |