| NPI | 1235580481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43957) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL V265-40-87-625-0) |
| 106S00000X Behavior Technician (Licence: FL 17-32544) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-08-21 |