| NPI | 1942743430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-38758) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-1938758) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2023-05-12 |