| NPI | 1114697323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12156730) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: 02112691) | |
| 106S00000X Behavior Technician (Licence: FL 20112993) | |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2022-01-03 |