| NPI | 1154807279 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-48827)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-12-5094)  | 
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2018-07-11 | 
| Last Update Date | 2021-04-06 |