| NPI | 1043867138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-62589) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-96760) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-03-01 |