| NPI | 1548780083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35253) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-01317) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |