| NPI | 1093350225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-62234) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-84086) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-06-03 |