| NPI | 1134541162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11523) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-85377) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2020-11-18 |