| NPI | 1891353975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB438700) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-88703) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-08-04 |