| NPI | 1780259093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-22-63087) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1471) |
| 106S00000X Behavior Technician (Licence: MD RBT-19-105390) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-03-27 |