| NPI | 1053934083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-47500) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005243) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-01-04 |