| NPI | 1912494139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-19-38971) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-01-09 |