| NPI | 1578912739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-41568) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-18481) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-03-18 |