| NPI | 1235618810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37317) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-45910) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-09-24 |