| NPI | 1366987893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-28726) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-09245) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2019-11-12 |