| NPI | 1174069009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 157) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-39052) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2024-01-03 |