| NPI | 1982162814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-37590) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2022-08-22 |