| NPI | 1215675343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-24-71262) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-124991) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-05-01 |