| NPI | 1649763467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA QASP9858) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-21026) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-10-29 |