| NPI | 1962150201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74311) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22-203516) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-07-19 |