| NPI | 1912432162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-38113) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC BACB362021) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-12-23 |