| NPI | 1104441815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA-1-21-50362) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-60019) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-06-08 |