| NPI | 1134833692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-67223) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-09-10 |