| NPI | 1215684212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH006802) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-22-206172) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-04-10 |