| NPI | 1962067397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-57830) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11660) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-55283) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-05-22 |