| NPI | 1215574678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0787) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-19-107713) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-06-20 |