| NPI | 1285132498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-52150) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-34049) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-08-18 |