| NPI | 1639717994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-48611) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-103173) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2021-03-29 |