| NPI | 1366909137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51012) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-78103) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-06-19 |