| NPI | 1063045243 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0798) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 1-23-66592) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-02-17 | 
| Last Update Date | 2023-08-04 |