| NPI | 1144700295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62299) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-62935) |
| 106S00000X Behavior Technician (Licence: FL RBT-21-160485) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-11-01 |