| NPI | 1174354302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2025007089) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-24-343336) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-04-29 |