| NPI | 1770077745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52108) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-58548) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-08-27 |