| NPI | 1659881613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WV 1-19-35335) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2019-06-11 |