| NPI | 1639886724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-23-69396) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-11-16 |