| NPI | 1164992848 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-71358)  | 
| Enumeration Date | 2018-11-26 | 
| Last Update Date | 2021-08-10 |