| NPI | 1093577728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-76267) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: GA RBT-21-175019) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-10-09 |