| NPI | 1831579473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46518) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 00000000000000000000) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-10-04 |