| NPI | 1104326461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1-18-29629) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 15-03496) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2020-02-10 |