| NPI | 1760915888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58381) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-12548) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-03-14 |