| NPI | 1962060533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54327) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-53724) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-10-18 |