| NPI | 1083182430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-57654) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: GA RBT-18-64374) | |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2022-01-25 |