| NPI | 1750899589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12152029) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-38028) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2021-08-09 |