| NPI | 1669018743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42298) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB441992) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2021-10-22 |