| NPI | 1619592250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-142273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 103K00000X) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-05-31 |