| NPI | 1972131340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45673) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-73585) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2021-05-12 |