| NPI | 1912563172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 131) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 1-19-83610) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2024-01-08 |