| NPI | 1114518750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-63244) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-21-153070) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-12-21 |