| NPI | 1740910272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74602) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-175281) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-08-02 |