| NPI | 1750865614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10212369) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-09-12 |