| NPI | 1962271585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-72467) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: IN 0-23-14950) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-04-25 |