| NPI | 1639646425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-62144) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 17-30109) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2024-11-11 |