| NPI | 1174266613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5228) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-18007) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-02-22 |