| NPI | 1932534161 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11416801) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0135730) | 
| 247200000X Technician, Other | |
| Enumeration Date | 2013-09-06 | 
| Last Update Date | 2022-03-29 |