| NPI | 1104416312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT 3866) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-55175) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-12-14 |