| NPI | 1194212043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-62692) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-42586) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-11-29 |