| NPI | 1952071458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCaBA-0-23-14929) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-90585) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-01-15 |