| NPI | 1033618012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO RBT-19-103806) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 00003886) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-07-08 |