| NPI | 1427573146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 10212643) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR RBT-19-96158) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-05-04 |