| NPI | 1639528763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-34162) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: FL 1-18-34162) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-02-20 |