| NPI | 1902516941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-24-77581) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-244356) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-11-22 |