| NPI | 1598317372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-73185) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-19-88027) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-06-18 |