| NPI | 1679014112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NM 1-19-40147) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2020-01-09 |