| NPI | 1831711597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53550) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB561688) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2022-01-14 |