| NPI | 1194500074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: PA RBT-23-293169) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-24-76001) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-12-16 |