| NPI | 1053969444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39813) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-49173) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-01-06 |