| NPI | 1841724002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH004866) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician (Licence: PA RBT-19-89998) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2021-03-09 |