| NPI | 1982177366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-20-44909) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NE 19-83494) |
| 106S00000X Behavior Technician (Licence: NE RBT-19-83494) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2020-09-29 |