| NPI | 1760988893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-4429) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-05725) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-07-26 |