| NPI | 1538812623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-77724) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-196784) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-12-06 |