| NPI | 1578099883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10542) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1732962) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2020-01-02 |