| NPI | 1194364992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-3188) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MT 18-65321) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-06-10 |