| NPI | 1699358556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 106S00000X) |
| 103K00000X Behavior Analyst (Licence: PA 15118) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-05-04 |