| NPI | 1164165221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-74211) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-22-13558) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2024-07-22 |