| NPI | 1972080042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1420) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-39165) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-10-10 |