| NPI | 1962126201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-21-174323) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI RBT-21-174323) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-05-11 |