| NPI | 1790351450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC 11872) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC RBT-18-59667) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-08-03 |