| NPI | 1942431218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53559) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA44609) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10311) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-03-10 |