| NPI | 1508316233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43123) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-9218) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-07-13 |