| NPI | 1992366066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47004) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9788) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2021-01-13 |