| NPI | 1558914788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59402) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1863994) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2023-06-26 |