| NPI | 1114600301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-82249) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA BACB829750) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-07-03 |