| NPI | 1528533528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56209) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11440) |
| 106S00000X Behavior Technician (Licence: FL RBT-1866763) | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2022-03-17 |