| NPI | 1780224139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48960) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-109499) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-05-11 |