| NPI | 1043961295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76939) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21191426) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-10-30 |