| NPI | 1609417823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65438) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-22-13744) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-05-15 |