| NPI | 1649837105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-64258) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-45715) |
| 106S00000X Behavior Technician (Licence: PA RBT-18-67091) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2023-03-02 |