| NPI | 1043840499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62562) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-91466) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-06-12 |