| NPI | 1063111201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-79978) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-133108) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-03-18 |