| NPI | 1568152288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 241028) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-23-264604) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-09-23 |