| NPI | 1396379574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63968) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO RBT-18-60286) |
| 106S00000X Behavior Technician (Licence: MO RBT-18-60286) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2023-02-24 |