| NPI | 1225650997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-43483) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-18-72669) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-08-06 |