| NPI | 1952870669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MD 0-18-9353) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-01-11 |