| NPI | 1972098978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71168) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 11943) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-02-09 |