| NPI | 1063954295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0518) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NV LABA0010) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-04-19 |