| NPI | 1639828684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-74421) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: RBT-20-111017) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-08-13 |