| NPI | 1760948202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-19-40476) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV RBT-17-43982) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-12-07 |