| NPI | 1679157911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 13042) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-21-167627) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-09-23 |