| NPI | 1700329364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-32152) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 378490) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2021-04-28 |