| NPI | 1225539729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33838) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-00657) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-01-30 |