| NPI | 1134734908 |
|---|---|
| Former Name | SORTA GANDA ULI PANDJAITAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001835) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-23-64321) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2026-03-16 |