| NPI | 1437815974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005587) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA BH005587) |
| 106S00000X Behavior Technician (Licence: PA RBT-17-27812) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-01-27 |