| NPI | 1215443684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-21-48526) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 515) |
| 106E00000X Assistant Behavior Analyst (Licence: 0-18-8974) | |
| 106S00000X Behavior Technician (Licence: RBT-15-11673) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-06-20 |