| NPI | 1356999023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46650) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-03-31 |