| NPI | 1164994661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-69832) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-58506) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2024-04-08 |