| NPI | 1215638838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-71934) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-183403) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2024-04-01 |