| NPI | 1134723075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-20-46785) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NC 0-18-9441) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2021-02-12 |