| NPI | 1740802404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-46733) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-74707) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2021-01-11 |