| NPI | 1851061147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-148485) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 110830000) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-11-08 |