| NPI | 1104382712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-21-53760) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-11-03 |