| NPI | 1235984196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-75743) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-23-269995) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-10-21 |