| NPI | 1245755446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1730) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-18-58118) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-01-16 |