| NPI | 1912404104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13044) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-49400) |
| 251S00000X (Licence: FL 0-21-13044) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-11-05 |