| NPI | 1639615131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-33878) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-16958) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-17-8120) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-05-14 |