| NPI | 1194267674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-16-21951) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA Bh003268) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |