| NPI | 1114578788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-23-65017) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-22-13749) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2023-04-10 |