| NPI | 1629783220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L142) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ND RBT-23-252482) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-12-09 |