| NPI | 1679138523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-55910) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-69494) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2022-01-31 |