| NPI | 1982192951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 668) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-18-51964) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-04-11 |