| NPI | 1578153011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005777) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-20-13909) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-02-15 |