| NPI | 1619468055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-18-31333) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-40036) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-11-01 |