| NPI | 1194242982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NH 1-19-38417) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-17-35873) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-03-18 |