| NPI | 1114673357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-76894) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 22-204355) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-11-11 |