| NPI | 1386214021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-19-97302) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-10-12 |