| NPI | 1043750755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45264) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-16-21889) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2020-10-16 |