| NPI | 1700459393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-21-57179) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-95333) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-01-14 |