| NPI | 1972136844 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: IN 0-19-10516)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-18-50932)  | 
| Enumeration Date | 2020-02-19 | 
| Last Update Date | 2020-02-19 |