| NPI | 1497457618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI m900000188682) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: m900000188682) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |