| NPI | 1134666779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-36416) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD BACB342927) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2020-09-17 |