| NPI | 1922669068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-21-54862) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AL 2020-059) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-07-10 |