| NPI | 1962176065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73508) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21178626) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-06-18 |