| NPI | 1982266904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-70760) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-23-14329) |
| 106S00000X Behavior Technician (Licence: RBT-18-73315) | |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2024-01-25 |