| NPI | 1417615451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1496) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-21-195595) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-03-27 |