| NPI | 1124764253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-06-08 |