| NPI | 1821863374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-24-77257) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-22-230305) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-12-17 |