| NPI | 1952010480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-65257) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-105608) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-07-21 |