| NPI | 1922657519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67761) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 11301) |
| 106S00000X Behavior Technician (Licence: FL RBT-17-42385) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-10-05 |