| NPI | 1023623014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-68615) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-134656) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-10-16 |