| NPI | 1588360721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2023040658) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO 00017419) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-05-02 |