| NPI | 1104331552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53069) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-30465) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2022-01-24 |