| NPI | 1902361595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69671) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-77925) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-12-05 |