| NPI | 1114581840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50563) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-84940) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2021-07-23 |