| NPI | 1639712102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-52394) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: NC RBT-19-82906) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-07-20 |