| NPI | 1093221194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-70241) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-17-30666) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2023-12-19 |