| NPI | 1285267310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005065) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-16-27066) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-10-01 |