| NPI | 1932710589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-22-62574) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV BACB573576) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2022-11-15 |