| NPI | 1962018473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-59918) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-129903) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2022-09-09 |