| NPI | 1720554421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021046242) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS LBA00501) |
| 106S00000X Behavior Technician (Licence: MO RBT-18-68220) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2022-02-11 |