| NPI | 1255897138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-41999) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: RBT-18-69651) | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2021-01-18 |