| NPI | 1609431261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-19-38674) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-17-33059) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-10-24 |