| NPI | 1053969873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-47430) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004607) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-02-22 |