| NPI | 1972161966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-75598) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-65420) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-09-12 |