| NPI | 1679045553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-60096) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB368666) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-07-04 |