| NPI | 1750731584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56815) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11728) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-02-07 |