| NPI | 1114443579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 190069) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-17-37190) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-02-13 |