| NPI | 1700389020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-52716) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-1734699) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-04-18 |