| NPI | 1891265112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 277845) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-71364) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-05-23 |