| NPI | 1134648090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC BACB304211) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-17-40438) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2024-05-21 |