| NPI | 1760041073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58992) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12569) |
| 106S00000X Behavior Technician (Licence: FL RBT-19-88740) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-04-28 |