| NPI | 1326511908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-50500) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-75352) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-07-12 |