| NPI | 1669989539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-34028) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ME RBT-16-19283) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2022-08-25 |