| NPI | 1265076939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2020029606) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-18-71471) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-03-10 |