| NPI | 1851822506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55055) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10309) |
| 106S00000X Behavior Technician (Licence: FL RBT-17-27845) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2021-11-04 |