| NPI | 1134576689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-22-58080) |
| Additional Taxonomies | 247200000X Technician, Other |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2024-07-24 |