| NPI | 1104332477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-23-69665) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-10366) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-11-20 |