| NPI | 1750793493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-49310) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-07-11 |