| NPI | 1275924011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-20-40737) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2020-05-01 |