| NPI | 1104530203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA BA-01177) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-142887) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2025-03-24 |