| NPI | 1790242907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-88681) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 103K00000X) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2022-03-04 |