| NPI | 1538706221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-23-63715) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-109518) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-02-08 |