| NPI | 1164169025 |
|---|---|
| Former Name | MARIA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-76945) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-12-17 |