| NPI | 1093280612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68413) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-20-11448) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-10-02 |