| NPI | 1164075479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-61776) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-92898) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-10-29 |