| NPI | 1700335379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11829899) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL 1616794) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2018-05-01 |