| NPI | 1740882992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-24-72261) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-09-25 |