| NPI | 1336612936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-20-44300) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0189344) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-01-26 |