| NPI | 1174158331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-61107) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 11307) |
| 106S00000X Behavior Technician (Licence: FL RBT-20-115122) | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2022-08-21 |