| NPI | 1902397474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-37104) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 17-38024) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2022-12-12 |