| NPI | 1104349778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-71406) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-48441) |
| 106E00000X Assistant Behavior Analyst (Licence: 0-20-11231) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-09-13 |