| NPI | 1619686771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: LA R-11958) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 012577074) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-22 |