| NPI | 1184397341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53852) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-116160) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-12-20 |