| NPI | 1356905608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 274204) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-53494) |
| 106S00000X Behavior Technician (Licence: RBT-19-80156) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-04-19 |