| NPI | 1194471516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72300) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-167264) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-04-06 |