| NPI | 1649968132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-25-79209) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-22-241771) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-02-28 |