| NPI | 1548893696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SD 1-20-42194) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SD RBT-18-70397) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-05-22 |