| NPI | 1124516836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 285-140) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-15-03430) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2021-03-15 |