| NPI | 1538662911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-19-34801) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-33446) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2019-04-24 |