| NPI | 1679132658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-22-63337) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-20-142820) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-01-14 |