| NPI | 1134771918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005140) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-59481) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-04-27 |