| NPI | 1720437023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL BACB311378) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-15-06257) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-02-09 |