| NPI | 1104487404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64164) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 1-21-11859) |
| 106S00000X Behavior Technician (Licence: FL RBT-19-91004) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-02-15 |