| NPI | 1457912560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43608) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-43608) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-68062) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-08-12 |