| NPI | 1043709447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58944) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-53437) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-04-08 |