| NPI | 1780176842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-40030) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2020-01-13 |