| NPI | 1164948790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-71582) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11786) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2024-03-18 |