| NPI | 1396398590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-63660) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 103T00000X Psychologist (Licence: FL 1-23-63660) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-03-09 |