| NPI | 1023899705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-24-74188) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: SC 0-23-14777) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-07-31 |