| NPI | 1063807642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-73092) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-07-12 |