| NPI | 1659811966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9484) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-68145) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2022-10-03 |