| NPI | 1255827960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-19-40279) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT1623345) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-09-21 |