| NPI | 1902374580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-49145) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-18-69642) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-09-09 |