| NPI | 1962853515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49552) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL RBT-17-34203) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-06-10 |