| NPI | 1902516693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76127) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-225052) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-12-12 |