| NPI | 1982140919 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-44207) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-01-14 | 
| Last Update Date | 2021-11-15 |