| NPI | 1972021806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-37085) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-30210) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-11-26 |