| NPI | 1770075061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-52516) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-68175) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-08-22 |