| NPI | 1093131278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-46788) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 4306) |
| 103K00000X Behavior Analyst (Licence: TX 5532) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2023-01-04 |