| NPI | 1306468087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-45881) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-18-48741) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-11-12 |