| NPI | 1316460116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45586) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-05733) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2020-11-02 |