| NPI | 1356861819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-27016) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0177958) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-03-06 |