| NPI | 1215580527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57191) |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician (Licence: FL RBT-19-91492) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-12-27 |