| NPI | 1003384728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-21-48233) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL QASPS10490) |
| 106S00000X Behavior Technician (Licence: FL RBT1867639) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-04-20 |