| NPI | 1659730505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-42522) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA0178424) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2020-06-19 |