| NPI | 1972955086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-32565) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-41823) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2018-10-01 |