| NPI | 1760956486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-52990) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-21-12096) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2021-09-02 |