| NPI | 1689160772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-20-46519) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 17-39122) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-03-24 |