| NPI | 1740705953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-51290) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-17-37325) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2021-08-11 |