| NPI | 1255839122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L54) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ND RBT-18-47348) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2022-08-10 |