| NPI | 1578130399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6206) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-09-07 |