| NPI | 1174080634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL BACB468984) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-19-78781) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-05-20 |