| NPI | 1962086231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-22-59403) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-98765) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-05-18 |