| NPI | 1548798648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA539) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-16-19504) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2019-01-03 |