| NPI | 1952977688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ID 1-21-56252) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-01-18 |