| NPI | 1164061511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-63904) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-87865) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2023-02-05 |