| NPI | 1881218238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11375) |
| 106S00000X Behavior Technician (Licence: FL 20-1580-212222) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-08-16 |