| NPI | 1659911824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-21-47135) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR 19-97458) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-01-21 |