| NPI | 1205467412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64139) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-02-20 |