| NPI | 1528611423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50466) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10848) |
| 106S00000X Behavior Technician (Licence: FL 19-91487) | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2021-06-11 |