| NPI | 1942835699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4093) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MT 19-108926) |
| 106E00000X Assistant Behavior Analyst (Licence: MT PSY-ABA-LIC-3611) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-12-14 |