| NPI | 1487325817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MS RBT-21-164308) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 21-164308) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-12-16 |