| NPI | 1164187126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-23-70454) |
| 103K00000X Behavior Analyst (Licence: PA BH006103) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-08-05 |