| NPI | 1962187716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73395) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-23-273681) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-06-06 |