| NPI | 1972272078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-78981) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14349) |
| 106S00000X Behavior Technician (Licence: FL BACB699509) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2025-01-24 |