| NPI | 1790241719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 0-19-10593) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV RBT-16-19089) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-12-30 |