| NPI | 1366011355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 12261487)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-23 | 
| Last Update Date | 2022-09-21 |