| NPI | 1942835954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-66816) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB508872) |
| 106S00000X Behavior Technician (Licence: FL RBT-19-108474) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-01-17 |