| NPI | 1992270201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53504) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-11-09 |