| NPI | 1720542384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-38056) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-09-30 |