| NPI | 1255976734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51021) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-05-17 |