| NPI | 1053801142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA1-21-55105) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: BCaBA-0-20-11115) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-10-20 |