| NPI | 1710546510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |