| NPI | 1184112716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-52160) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-48341) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-04-06 |