| NPI | 1124534714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-52934) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 16-23077) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-10-14 |