| NPI | 1528690138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-21-54424) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR 18-65863) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2021-10-22 |