| NPI | 1104580786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-66423) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-61744) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2024-09-09 |