| NPI | 1275095408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13591) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: FL RBT-19-87429) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-05-17 |