| NPI | 1649778770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-42658) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 38048364) |
| 106S00000X Behavior Technician (Licence: TX RBT-17-44229) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-05-30 |