| NPI | 1902573546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 241006) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-19-100977) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-01-23 |