| NPI | 1487080388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45234) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-90942) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2025-01-15 |