| NPI | 1174132658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-68238) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: GA RBT20116461) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-09-18 |