| NPI | 1295141232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45728) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 15-05628) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-04-12 |