| NPI | 1568997732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA695) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-37510) |
| 103K00000X Behavior Analyst (Licence: MD 1-19-37510) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-12-05 |