| NPI | 1356808554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56424) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2022-03-18 |