| NPI | 1104391523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-01-22 |