| NPI | 1164065710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-63495) |
| 106S00000X Behavior Technician (Licence: FL RBT-19-1705-178936) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-09-24 |