| NPI | 1285276121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-63745) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11993) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-01-24 |