| NPI | 1760134712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-22-63101) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-22-13420) |
| 106S00000X Behavior Technician (Licence: 18-74133) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-05-10 |