| NPI | 1821768201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76701) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-184628) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-10-22 |