| NPI | 1023525078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42022) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2021-01-02 |