| NPI | 1679039598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48616) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-16-18837) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-01-02 |