| NPI | 1750159372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-905) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA C-171) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-11-21 |