| NPI | 1780168039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39203) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2023-06-07 |