| NPI | 1619564366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-553090) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-19-88609) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-09-23 |