| NPI | 1447919675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC BACB609258) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: NC RBT-20-137444) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-08-22 |