| NPI | 1164071635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-23-14878) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-91144) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2023-11-21 |