| NPI | 1821538935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45861) |
| Additional Taxonomies | 247200000X |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2021-03-15 |