| NPI | 1962919324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2019014046) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-06-13 |