| NPI | 1164052924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58128) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-110184) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2022-03-04 |