| NPI | 1669972634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 460) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-03-31 |