| NPI | 1265949887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46600) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 17-28810) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-03-11 |