| NPI | 1164038097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-73036) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AL 0-23-14830) |
| 106S00000X Behavior Technician (Licence: AL RBT-20-130731) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-07-19 |