| NPI | 1841707841 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11000992-2506) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2017-12-29 | 
| Last Update Date | 2022-06-01 |