| NPI | 1366929150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-50774) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-15-02141) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2021-06-26 |