| NPI | 1205591393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5601) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-21-165690) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-01-12 |