| NPI | 1770102709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-42677) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-06-25 |