| NPI | 1902362874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-12-47863) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RT-18-52660) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2021-02-24 |