| NPI | 1265933733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-368) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA RBT-15-02365) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-07-22 |