| NPI | 1720631625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71530) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-91841) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11855) | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-09-26 |