| NPI | 1114495330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2020-25) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-18-53114) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-06-22 |