| NPI | 1811521164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2020034220) |
| 106S00000X Behavior Technician (Licence: MO RBT-18-54686) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-05-19 |