| NPI | 1619427465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-28454) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT-16-22886) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2018-03-21 |