| NPI | 1912508623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002875) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2023-02-06 |