| NPI | 1396392387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 109834) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IA RBT-19-88382) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2021-08-26 |