| NPI | 1649785734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2018029914) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 199) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2021-06-02 |