| NPI | 1962008011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13488) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-02-15 |