| NPI | 1982977021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39825) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 18-55238) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2019-12-30 |