| NPI | 1952012700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2024044152) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-22-237988) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-11-13 |