| NPI | 1578016614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-44880) |
| Additional Taxonomies | 247200000X Technician, Other |
| 106E00000X Assistant Behavior Analyst (Licence: CO 0-19-9808) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-09-30 |