| NPI | 1538668439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH004028) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: PA 11832815) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-12-26 |