| NPI | 1659957298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-61515) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-19-10665) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10665) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-09-18 |