| NPI | 1497263453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-39190) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-19-39190) |
| 106E00000X Assistant Behavior Analyst (Licence: 0-19-10150) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-01-25 |