| NPI | 1982245106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 2104) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: MO RBT-19-90221) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 0-23-14270) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2025-01-28 |