| NPI | 1265076509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021043063) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-19-80914) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-11-10 |