| NPI | 1558840017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005742) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-17-35830) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-03-02 |