| NPI | 1831482728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-48133) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-12-5144) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2021-04-01 |