| NPI | 1124651070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 269103) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 17-37243) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-03-03 |