| NPI | 1750979555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64827) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-186045) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 4199) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-04-04 |