| NPI | 1407488026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-59052) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR 20-110575) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-05-05 |