| NPI | 1962911719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0318) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 0318) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2020-12-02 |