| NPI | 1629584982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45614) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 17-32452) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2024-05-24 |