| NPI | 1336763309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-60119) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13438) | 
| Enumeration Date | 2020-06-04 | 
| Last Update Date | 2023-07-26 |