| NPI | 1376177113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51857) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-81988) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-07-28 |