| NPI | 1740797711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-43966) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: OR 1-20-43966) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2022-10-26 |