| NPI | 1790293462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43125) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-12-20 |