| NPI | 1053997312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC RBT-21-156849) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: Rbt-21-156849) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |