| NPI | 1366953945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65609) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 12287) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13951) | |
| 106S00000X Behavior Technician (Licence: FL RBT-20-110588) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-05-08 |