| NPI | 1760125694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75968) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15305) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-09-30 |