| NPI | 1164917555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-19-38269) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-16-17419) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-09-26 |