| NPI | 1336751445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-63527) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 11553) |
| 106S00000X Behavior Technician (Licence: FL BACB594799) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-01-06 |