| NPI | 1457827495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-37928) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-67742) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2020-01-07 |