| NPI | 1295370872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53730) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-116668) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-03-04 |