| NPI | 1306595384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67793) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14396) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-06-05 |