| NPI | 1861090672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4584) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: TX RBT-20-136951) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-10-20 |