| NPI | 1023632213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 11513) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-110101) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-05-02 |