| NPI | 1790593507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-25-78843) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-89996) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-01-13 |