| NPI | 1023638855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 0-21-12518) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: 10707) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2021-08-02 |