| NPI | 1396365979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-55058) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-116164) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-04-20 |