| NPI | 1861948515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39122) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2020-07-31 |