| NPI | 1447802475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 200006) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-18-68941) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-05-27 |