| NPI | 1619584562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-70832) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 107798900) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-02-02 |