| NPI | 1568933109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 1-20-45713) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA RBT-18-68228) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-04-03 |