| NPI | 1649786997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68906) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-8570) |
| 106S00000X Behavior Technician (Licence: FL RBT-15-07522) | |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2024-10-03 |