| NPI | 1982196077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37396) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-42271) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-03-22 |