| NPI | 1154078061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-120198) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 1-23-68356) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-09-21 |