| NPI | 1558803932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-35677) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-04-16 |