| NPI | 1124587290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-23-63734) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-19-81335) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-03-23 |