| NPI | 1619485265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-41633) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3316) |
| 106S00000X Behavior Technician (Licence: NJ RBT-16-21225) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-03-08 |