| NPI | 1871115675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-24-71110) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-20-125443) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-02-15 |