| NPI | 1942956578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63935) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-180802) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-03-06 |