| NPI | 1821622333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65167) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12044) |
| 106S00000X Behavior Technician (Licence: FL 1050546000) | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-05-12 |