| NPI | 1982252797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67768) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 19-97084) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-09-18 |