| NPI | 1376194225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-22-60599) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-19-94698) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-08-19 |