| NPI | 1710644703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO BACB631100) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-21-170911) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2022-07-11 |