| NPI | 1942766175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4876) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RBT-17-41108) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-02-28 |