| NPI | 1265090864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-22-58767) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-69845) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-04-04 |