| NPI | 1700555208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 251007) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-21-183526) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-02-24 |