| NPI | 1528544830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-22-59085) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-52354) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-09-30 |