| NPI | 1639725880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-21-49762) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-19-94835) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-05-28 |