| NPI | 1811555220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45941) |
| Additional Taxonomies | 247000000X Technician, Health Information (Licence: FL RBT-19-87832) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-12-10 |